<!DOCTYPE html>
<html>
	
	<head>
	
		<meta charset="utf-8" />
		<title>Inscription Entreprise</title>
	</head>	
	
	<body>
		
		<h1>Inscription Entreprise</h1>
		
		<form method="post" action="TraitementFormulaire.php">
		
			<fieldset>
			
				<legend>Informations Générales de l'Entreprise</legend>
				
					<table>
						<tr>
							<td>Nom :</td>
							<td><input type="text" name="entreprisenom" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Status :</td>
							<td><input type="text" name="entreprisestatus" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Adresse :</td>
							<td><input type="text" name="entrepriseadresse" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Code postal :</td>
							<td><input type="text" name="entreprisecodepostal" size="5" maxlength="5"/></td>
						</tr>
						<tr>
							<td>Ville :</td>
							<td><input type="text" name="entrepriseville" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Téléphone :</td>
							<td><input type="tel" name="entreprisetelephone" size="10" maxlength="10" /></td>
						</tr>
						<tr>
							<td>Fax :</td>
							<td><input type="text" name="entreprisefax" size="10" maxlength="10" /></td>
						</tr>
						<tr>
							<td>Site :</td>
							<td><input type="text" name="entreprisesite" size="30" maxlength="50" /></td>
						</tr>
						
					</table>
			</fieldset>
			
			<fieldset>
			
				<legend>Informations du Responsable</legend>
				
					<table>
						<tr>
							<td>Responsable :</td>
							<td><input type="text" name="responsable" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Email :</td>
							<td><input type="text" name="responsableemail" size="30" maxlength="50" /></td>
						</tr>
						<tr>
							<td>Téléphone :</td>
							<td><input type="tel" name="responsabletelephone" size="10" maxlength="10" /></td>
						</tr>
						
					</table>
			</fieldset>
			
			<input type="submit" value="Enregistrer"/>	
			
		</form>
		
	</body>
	
</html>